CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Brookings Health System

Billing Code: 99203 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$144
about 1.2× the $118 Medicare rate · typically $97–$235
modeled estimate · not a bill or quote
What this hospital charges insurers
$137
About the fair price
about $7 under the fair price · 1.2× Medicare
Medicare pays $118 Fair price $144 This hospital $137 Cash price $152 Hospital's list price $303

How we calculate the fair BaseRate →

How this hospital compares to other SD hospitals

A typical price — 3 charge more and 5 charge less, among the 9 SD hospitals compared.

Cheapest $87 Priciest $281

Black dot = this hospital, among the 9 SD hospitals with a price for this procedure. Full list below.

A fair price for a New patient office visit (30-44 min) is about $144 (about 1.2× the $118 Medicare rate). Brookings Health System charges insurers about $137, or about $152 in cash — about the fair price. Located in Brookings, SD.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Humana AetnaCignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $179 - $283 152%
Blue Cross Blue Shieldmajor $128 - $342 109%
Humanamajor $308 262%
Medica $134 - $250 114%
Sanford Health Plan $116 - $325 99%
+ 1 smaller / regional plan $131 - $308
Government programs also on file: Medicare, Medicaid.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 300 22Nd Ave, Brookings, SD 57006
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals